CMS Price Transparency Data

X-ray, hip

Facility: Charlevoix Area Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $61
Cash Discount Price: $165
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Charlevoix Area Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $165 (186%)

Insurance Median: $61 (69%)

Cash: $165 (186% of Medicare)

Ins. Median: $61 (69% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$7 - $179	8%
Mclaren Health Plan	$7 - $181	8%
Meridian	$7 - $61	8%
Priority Health	$7 - $194	8%
UnitedHealthcare	$7 - $169	8%
Aetna	$10 - $175	11%
Blue Care Network	$10 - $91	11%
Hap (Health Alliance Plan)	$10 - $155	11%
Medicare (plans)	$10 - $91	11%
Michigan Amish Medical Board	$10 - $91	11%
Molina	$10 - $98	11%
Northern Michigan Mennonite Group	$10 - $91	11%
Asr Physicians Care Network	$16 - $155	18%
Cigna	$16 - $194	18%
Nomi Health	$17 - $180	19%
Employee Benefits Logistics	$18 - $155	20%
Hospice Of Michigan	$116	130%
Provider Network Of America/Hma Group Health	$122 - $165	137%
Enterprise Group Planning Employee Benefit Plan	$155	174%
First Health/Coventry Health/Community Care Network	$155	174%
Medical Cost Savings Solution	$155	174%
Three Rivers Provider Network	$165	186%
Iba Health And Life Assurance Company	$178	200%
Cofinity	$180	202%
Preferred Medical Claim Solutions	$184	207%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $165.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charlevoix Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.